Chalet Donation Request Form

www.ChaletNursery.com

Please fill out the following form to make a donation request on behalf of the organization you represent. All requests will be reviewed and a response will be sent approximately 2-3 wks prior to your event date.

CHALET'S standard donation is a $25 gift card for use at our retail location in Wilmette

All organizations MUST be within a 20 mile radius of our store and in the state of Illinois.

Name of Organization *

Organization's Federal Tax ID Number
(Not Sales Tax Exemption #) *

0/12 characters

Organization's Phone Number *

Organization Address *

Organization City *

Zip Code *

0/5 characters

State *

0/2 characters

What is the mission of your organization? *

0/200 characters

Your First Name *

Your Last Name *

Your Phone Number *

0/12 characters

Your Address *

Your City *

Your Zip Code *

0/5 characters

Your State *

0/2 characters

Your email address *

How do you know of Chalet? *

0/100 characters

Who in your organization knows of Chalet? *

0/30 characters

Please provide EVENT date *

What type of event is happening? *

0/200 characters